Individual
SKYLER S WORTHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
156 6TH ST, POTLATCH, ID 83855
(208) 875-2380
(208) 875-2303
Mailing address
PO BOX 8007, MOSCOW, ID 83843-0507
(208) 882-4511
(208) 883-6580
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1825
ID
Other
Enumeration date
06/20/2011
Last updated
07/19/2024
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